Provider Demographics
NPI:1992903777
Name:HALL, JANAN ANGEVINE (FNP)
Entity type:Individual
Prefix:MRS
First Name:JANAN
Middle Name:ANGEVINE
Last Name:HALL
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:601 UNIVERSITY DR
Mailing Address - Street 2:STUDENT HEALTH CENTER
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-4684
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:601 UNIVERSITY DR
Practice Address - Street 2:STUDENT HEALTH CENTER
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-4684
Practice Address - Country:US
Practice Address - Phone:512-245-2161
Practice Address - Fax:512-245-3918
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2013-10-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX257122363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily